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目的探讨彩色多普勒超声在甲状腺腺瘤与单发结节性甲状腺肿鉴别诊断中的价值。方法回顾性分析经手术或细针活检病理证实的35例甲状腺腺瘤及29例结节性甲状腺肿患者的声像图,对其二维声像图及彩色多普勒血流显像特点进行分析、比较。结果两者在甲状腺大小、结节大小、结节内部回声及结节内部血流参数方面差异无统计学意义(P均>0.05),在结节边缘晕环、结节内部及周边血流信号、结节周边血流参数方面差异有统计学意义(P均<0.05)。结论超声检查在甲状腺腺瘤和结节性甲状腺肿的鉴别诊断中具有较为重要的参考价值。
Objective To investigate the value of color Doppler ultrasonography in the differential diagnosis of thyroid adenoma and solitary nodular goiter. Methods We retrospectively analyzed the sonography of 35 cases of thyroid adenoma and 29 cases of nodular goiter confirmed by surgery or fine needle biopsy. The features of two-dimensional sonography and color Doppler flow imaging were retrospectively analyzed analyse and compare. Results There was no significant difference in thyroid size, nodule size, internal echo of nodules and blood flow parameters of nodules between the two groups (P> 0.05). There was no significant difference in thyroid size, nodule size, nodule internal and peripheral blood flow signals , Nodular peripheral blood flow parameters were statistically significant (P all <0.05). Conclusion Ultrasonography has an important reference value in the differential diagnosis of thyroid adenoma and nodular goiter.